17-azolyl steroids useful as androgen synthesis inhibitors

ABSTRACT

Androgen synthesis inhibitors, as well as methods for the use of the same to reduce plasma levels of testosterone and/or dyhydrotestosterone, and to treat prostate cancer and benign prostatic hypertrophy, are disclosed.

The development of the present invention was supported by the University of Maryland, Baltimore, Md. and by funding from the National Institutes of Health under grant number CA 27440. The United States Government has a non-exclusive, irrevocable, paid-up license to practice or have practiced for or on behalf of the United States the invention herein as provided for by the terms of the above mentioned contracts awarded by the United States Government.

FIELD OF THE INVENTION

The present invention relates to novel 17-azolyl steroids which are useful as androgen synthesis inhibitors, as well as methods for the use of the same to reduce plasma levels of testosterone and/or dyhydrotestosterone, and to treat prostate cancer and benign prostatic hypertrophy.

BACKGROUND OF THE INVENTION

Breast cancer kills 45,000 women per year. In addition, prostate cancer now ranks as the most prevalent cancer in men. Approximately 160,000 new cases are diagnosed with prostate cancer each year. Of these, 35,000 will die of metastatic disease.

It has been proposed that selective aromatase (estrogen synthetase) inhibitors to control estrogen production would be useful agents for treatment of breast cancer in women (Bolla et al, N. Eng. J. Med., 337:295-300 (1997)). In addition, in men, aromatase inhibitors may be useful for conditions associated with estrogen excess, such as gynecomastia and oligospermia (Coen et al, New Eng. J. Med., 324:317-322 (1991); and Hsiang et al, J. Steroid Biochem., 26:131-136 (1987)). It has also been suggested that aromatase inhibitors might be useful in the treatment of prostatic cancer and benign prostatic hypertrophy (BPH) (Henderson, Annals Med., 23:201-203 (1991)).

Compounds which are potent and selective inhibitors of aromatase have been reported (Schwarzel et al, Endocrinol., 92:866-880 (1973)). The most active of those inhibitors, 4-hydroxyandrostene-3,17-dione (4-OHA) (Brodie et al, J. Steroid Biochem., 7:787-793 (1976)), was found to act by rapid competitive inhibition, followed by inactivation of the enzyme in vitro, which appeared to be long-lasting or irreversible (Brodie et al, Steroids, 38:693-702 (1981)). Enzyme inhibitors with these properties are thought to bind to the active site of the enzyme, are likely to be quite specific, and should have long-lasting effects in vivo due to inactivation of the enzyme (Sjoerdsma, Clin. Pharmacol. Ther., 30:3 (1981)). It was also demonstrated that 4-OHA reduces peripheral plasma estrogen levels, and causes significant regression of breast cancers in postmenopausal patients with advanced metastatic disease who have relapsed from other hormonal treatment, such as ovariectomy and tamoxifen. 4-OHA has both oral and parenteral activity, and is without significant side-effects in these patients (Goss et al, Cancer Res., 46:4223-4826 (1986); and Coombes et al, Steroids, 50:245-252 (1987)). 4-OH-A, also known as formastane, was approved in 1995 for the treatment of breast cancer in many countries worldwide, including most European countries and Canada. It was the first new treatment for breast cancer in 10 years.

In men, estrogens are produced by the testes, and by peripheral aromatization of adrenal androgens. Testosterone is the major product of the testis, and is converted in the prostate by 5α-reductase to the more potent androgen, dihydrotestosterone (DHT) (Bruchovsky et al, J. Biol. Chem., 243:2012-2021 (1968)). While androgens are of primary importance in the growth of normal prostate, BPH and prostatic cancer, several lines of evidence suggest that estrogens may also have a role (Mawhinney et al, Adv. Sex Horm. Res., 2:41-209 (1976)).

4-OHA also inhibits 5α-reductase in vitro, although with less potency than it inhibits aromatase (Brodie et al, Cancer Res., 49:6551-6555 (1989b)). Because of these two activities, the possibility that 4-OHA might be effective in prostatic cancer was explored in a small group of men with advanced disease. Subjective responses were observed in 80% of these patients, although there was no clear evidence of objective remissions (Shearer et al, In: 4-hydroxyandrostenedione--A New Approach to Hormone-Dependent Cancer, Eds. Coombes et al, pages 41-44 (1991)). Estrogen levels were reduced as expected but, DHT concentrations were unchanged in the patients. The latter finding, in addition to the weak androgenic activity of 4-OHA, may have determined the lack of objective responses.

Chemotherapy is usually not highly effective, and is not a practical option for most patients with prostatic cancer because of the adverse side-effects which are particularly detrimental in older patients. However, the majority of patients initially respond to hormone ablative therapy (McGuire, In: Hormones and Cancer, Eds. Iacobelli et al, Raven Press, New York, Vol. 15, pages 337-344 (1980)) although they eventually relapse, as is typical with all cancer treatments. Current treatment by orchidectomy or administration of gonadotropin-releasing hormone (GnRH) agonists result in reduced androgen production by the testis, but does not interfere with androgen synthesis by the adrenals. Following 3 months of treatment with a GnRH agonist, testosterone and DHT concentrations in the prostate remained at 25% and 10%, respectively, of pretreatment levels (Forti et al, J. Clin. Endocrinol. Metab., 68:461-468 (1989)). Similarly, about 20% of castrated patients in relapse had significant levels of DHT in their prostatic tissue (Geller et al, J. Urol., 132:693-696 (1984)). These finding suggest that the adrenals contribute precursor androgens to the prostate. This is supported by clinical studies of patients receiving combined treatment with either GnRH or orchidectomy and an anti-androgen, such as flutamide, to block the actions of androgens, including adrenal androgens. Such patients have increased progression-free survival time compared to patients treated with GnRH agonist or orchidectomy alone (Crawford et al, N. Engl. J. Med., 321:419-424 (1989); and Labrie et al, Cancer Suppl., 71:1059-1067 (1993)).

Although patients initially respond to endocrine therapy, they frequently relapse. It was reported recently that in 30% of recurring tumors of patients treated with endocrine therapy, high-level androgen receptor (AR) amplification was found (Visakorpi et al, Nature Genetics, 9:401-406 (1995)). Also, flutamide tends to interact with those mutant AR, and stimulate prostatic cell growth. This suggests that AR amplification may facilitate tumor cell growth in low androgen concentrations. Thus, total androgen blockade as first line therapy may be more effective than conventional androgen deprivation by achieving maximum suppression of androgen concentrations which may also prevent AR amplification. It is presently unclear whether sequential treatment with different agents can prolong the benefits of the initial therapy. This strategy has been found effective in breast cancer treatment. New agents which act by different mechanisms could produce second responses in a portion of relapsed patients. Although the percentage of patients who respond to second-line hormonal therapy may be relatively low, a substantial number of patients may benefit because of the high incidence of prostatic cancer. Furthermore, there is the potential for developing more potent agents than current therapies, none of which are completely effective in blocking androgen effects.

Human cytochrome 17α-hydroxylase/C₁₇,20 -lyase (hereinafter "P450₁₇α ") is a key enzyme in the biosynthesis of androgens, and converts the C₂₁ steroids (pregnenolone and progesterone) to the C₁₉ androgens, dehydroepiandrosterone (DHEA), androstenediol (A-diol), testosterone, and androstenedione in the testis and adrenals. Some inhibitors of P450₁₇α have been described (Barrie, J. Steroid Biochem., 33:1191-1195 (1989); McCague et al, J. Med. Chem., 33:3050-3055 (1990); Jarman et al, J. Med. Chem., 33:2452-2455 (1990); Ayub et al, J. Steroid Biochem., 28:521-531 (1987); Nakajin et al, Yakugaku Zasshi. (Japan), 108:1188-1195 (1988); Nakajin et al, Chem. Pharm. Bull. (Tokyo), 37:1855-1858 (1989); Angelastro et al, Biochem. Biophys. Res. Commun., 162:1571-1577 (1989); Potter et al, J. Med. Chem., 38:2463-2471 (1995); and Rowlands et al, J. Med. Chem., 38:4191-4197 (1995)). Ketoconazole, an active imidazole fungicide, has been used to reduce testosterone biosynthesis in the treatment of patients with advanced prostatic cancer (Trachtenberg, J. Urol., 132:61-63 (1984); and Williams et al, Br. J. Urol., 58:45-51 (1986)). However, ketoconazole is not very potent. Moreover, it has a number of significant side-effects, including inhibition of several other cytochrome P₄₅₀ steroidogenic enzymes, and reduction of cortisol production. Another drug used for prostate cancer, aminoglutethimide (AG), has similar drawbacks. This suggest that more potent and selective inhibitors of P450₁₇α could provide useful agents in treating this disease. In addition such compounds may be effective in treating breast cancer patients. AG was used for this purpose, but was associated with adverse side-effects.

In the prostate, 5α-reductase is the enzyme that converts testosterone to the more potent androgen, DHT, which stimulates prostatic growth. This enzyme occurs in two important isoforms, the Type I isoform expressed in human non-genital skin, and the Type II isoform present in the human prostate (Russell et al, Ann. Rev. Biochem., 63:25-61 (1994)). The 5α-reductase inhibitor, N-[1,1-dimethyl-3-oxo-4-aza-5αandrost-1-ene-17β-carboxamide (finasteride; Merck) recently approved for treatment of BPH (Stoner, J. Steroid Biochem. Molec. Biol., 37:375-378 (1990)) is a more potent inhibitor of the Type II than of the Type I isoform. However, finasteride is effective mainly in BPH patients with minimal disease, possibly because serum DHT levels have been found to be incompletely reduced (65-80%). As the Type I isoenzyme is probably the source of much of the residual plasma DHT, compounds that inhibit Type I as well as Type II may be more effective in patients. More recently, another azasteroid, MK-434, has been described which reduces prostatic DHT levels in dogs more effectively than finasteride (Cohen et al, The Prostate, 26:55-71 (1995)). The main advantage of this compound, which has similar activity to finasteride in vitro, appears to be its more favorable pharmacokinetics. However, its efficacy in humans remains to be seen. Although finasteride and MK-434 reduce DHT levels, they also increase serum testosterone levels (Geller et al, J. Clin. Endocrinol. Metab., 71:1552-1555 (1990). Preservation of testosterone levels may be an advantage in patients with BPH. However, inhibitors of 5α-reductase which increase testosterone levels may not be sufficiently effective in treating prostatic cancer since testosterone will bind to the AR in the absence of DHT. That is, while DHT binds to the AR with higher affinity than testosterone and dissociates more slowly, testosterone can bind to the AR when DHT levels are reduced (Gormley, Urol. Clinics of North America, 18(1):93-97 (1991)). As indicated above, despite significant reductions in prostatic DHT levels during treatment (Cohen et al, supra), these compounds are not as effective as castration. More importantly, it appears that they are less effective in eliciting prostatic cell death. The androgen-responsive gene, TRPM-2 associated with apoptosis is significantly enhanced by castration but, not by finasteride treatment (Rittinaster et al, Mol. Endocrin., 5:1023-1029 (1991); and Shao et al, J. Androl., 14:79-86 (1993)). This has been attributed to the lower androgen levels after castration (Shao et al, supra), which is mainly a consequence of the reduction in testosterone production. Recent studies of patients receiving long-term treatment with finasteride found some patients developed gynecomastia which led to breast cancer in a few cases (Green et al, Letter to New Eng. J. Med., 335(11):823-C (1996)). This raises concerns about the use of 5α-reductase inhibitors, since blockade of this step increases the conversion of androgen substrates to estrogens. Compounds which reduce production of testosterone and DHT as well as other androgens by inhibiting P450₁₇α would not be associated with this problem, and may be more effective in the treatment of prostatic cancer.

Several compounds which inhibit both P450₁₇α and 5α-reductase have been identified (Li et al, J. Steroid Biochem. Mol. Biol., 42:313-321 (1992); Li et al, The Prostate, 26:140-150 (1995); and Li et al, J. Med. Chem., 39:4335-5339 (1996)). Such compounds could block all androgen synthesis, i.e., testosterone, DHT and androstenedione, and be more effective alternatives or additions to orchiectomy in treating prostate cancer patients.

In pending U.S. patent application Ser. No. 08/795,932, filed Feb. 5, 1997; which is incorporated by reference herein in its entirety, compounds which inhibit androgen synthesis have been identified and purified.

In the present invention, additional compounds which inhibit androgen synthesis have been identified and purified. These compounds strongly inhibit P450₁₇α, and are based on the finding that an imidazole moiety acts as a ligand to bind the iron atom of the heme prosthetic group of P450₁₇α and form a coordinated complex. Such compounds are potent inhibitors of aromatase, e.g., fadrozole, which is useful in the treatment of breast cancer (Lang et al, J. Steroid Biochem. Molec. Biol., 44:421-428 (1993)). Although the detailed mechanism of the 17α-hydroxylation and C₁₇,20 -side-chain cleavage by P450₁₇α in presently unclear, it appears that the C₁₇ and C₂₀ positions of the substrate must be close to the heme group of the enzyme. Thus, introduction of an imidazole group or other heterocyclic group with a nitrogen lone pair of electrons at these positions might coordinate to the iron atom of the prosthetic group in the active site of the enzyme (Green et al, supra). Using this rationale, a series of androstene derivatives (substrate-like compounds) with imidazole, pyrazole and oxazole groups substituted at the 17-position were synthesized in the present invention.

The compounds of the present invention, wherein the azole group is attached to the steroid nucleus via a nitrogen of the azole constitute a class of compounds not hitherto reported, and distinguish the compounds of the present invention from the known 17-azole androstene steriods.

SUMMARY OF THE INVENTION

An object of the present invention is to provide inhibitors of androgen biosynthesis.

Another object of the present invention is to provide a method for the synthesis of said inhibitors.

Still another object of the present invention is to provide pharmaceutical compositions containing the same.

Yet another object of the present invention is to provide methods for inhibiting synthesis of testosterone and/or DHT.

An additional object of the present invention is to provide methods for treatment of prostatic cancer and BPH.

These and other objects of the present invention, which will be apparent from the detailed description of the invention provided hereinafter, have been met, in one embodiment, by a compound of general Formula (I) or a pharmaceutically acceptable salt thereof: ##STR1##

wherein X represents the residue of the A, B and C rings of a steroid consisting of a 4-en-3-one or 5-en-3β-ol system;

wherein Az represents an azole group attached to C-17 of the steroid via a hetero nitrogen atom; and

wherein R₁ and R₂ each represents a hydrogen atom or together represent a double bond.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1A-1F show the schematic synthesis of Compounds 1-30 described in Synthesis Examples 1-25.

FIG. 2A shows a Lineweaver-Burk analysis (1/v vs. 1/[s]) of Δ¹⁶ -17-(1H-imidazole) (Compound 11) at 3.0, 6.0 and 10 nM; while FIG. 2B shows a replot of the slopes of each reciprocal plot versus inhibitor concentration [I] to obtain the K_(i) value. The inhibition experiments with the other azoles (Compounds 6, 7, 12, 20 and 21) gave plots that were essentially the same as shown herein.

FIG. 3 shows progress curves for the inhibition of human testicular microsomal P⁴⁵⁰ ₁₇α by Δ¹⁶ -17-(1H-imidazole) (Compound 11) at different concentrations.

FIG. 4 shows difference absorption spectra, wherein the experimental and reference cuvettes contained a modified form of P450₁₇α (P450 concentration 1.8 μM). The spectra show the effects of addition of 20 μM Δ¹⁶ -17-(1H-1,2,3-triazole) (Compound 6), (curve A) and 20 μm Δ¹⁶ -17-(1H-imidazole) (Compound 11), (curve B).

DETAILED DESCRIPTION OF THE INVENTION

As discussed above, in one embodiment, the above-described object of the present invention have been met by a compound of general Formula (I) or a pharmaceutically acceptable salt thereof.

In Formula (I), X represents the residue of the A, B and C rings of a steroid consisting of 4-en-3-one or 5-en-3β-ol systems; Az represents an azole group attached to C-17 of the steroid via a hetero nitrogen atom; and R₁ and R₂ each represents a hydrogen atom or together represent a double bond.

Preferred examples of Az include the following ##STR2##

The steroid of Formula (I) preferably comprises a basic structure selected from the group consisting of Δ⁴ -3-one, Δ⁵ -3β-ol and Δ¹,4 -3-one.

Furthermore, the steroid is preferably an aza steroid comprising a ring nitrogen atom in place of a ring carbon atom, preferably the ring nitrogen is in the A ring, e.g., a 4-azasteroid; or the ring nitrogen is in the B ring, e.g., 6-azasteroid.

Specific examples of the compound of the present invention include the following compounds: 17-(1H-imidazolyl)-androst-5-en-3β-ol, 17β-(1H-imidazolyl)-androsta-5,16-dien-3β-ol, 17β-(1H-1,2,3-triazolyl)-androst-5-en-3β-ol, 17-(1H-1,2,3-triazolyl)-androsta-5,16-dien-3β-ol, 17β-(1H-1,2,4-triazolyl)-androst-5-en-3β-ol, 17-(1H-1,2,4-triazolyl)-androsta-5,16-dien-3β-ol or 3-acetates thereof; and the following compounds: 17β-(1H-imidazolyl)-androst-4-en-3-one, 17-(1H-imidazolyl)-androsta-4,16-dien-3-one, 17β-(1H-1,2,3-triazolyl)-androst-4-en-3-one, 17-(1H-1,2,3-triazolyl)-androsta-4,16-dien-3-one, 17β-(1H-1,2,4-triazolyl)-androst-4-en-3-one, 17-(1H-1,2,4-triazolyl)-androsta-4,16-dien-3-one or 3-oximes thereof.

Acetates can be prepared as described in the Synthesis Examples provided herein.

Oximes can be prepared by refluxing the steroids with hydroxylamine hydrochloride in ethanol for 4 hrs, adding water, and separating the crude mixture flash chromatography on silica gel.

The particular pharmaceutical acceptable salt of the compounds of the present invention is not critical thereto.

Examples of pharmaceutically acceptable base salts which can be used in the present invention include base salts derived from an appropriate base, such as alkali metal (e.g., sodium), alkaline earth metal (e.g., magnesium), ammonium, and NW_(n) HM_(m) bases, wherein each of n and m are 0 to 4 and n+m is 4, and wherein W is a C₁ -C₁₈ alkyl.

Examples of pharmaceutically acceptable salts of an acid group which can be employed in the present invention include salts of organic carboxylic acids, such as acetic, citric, oxalic, lactic, tartaric, malic, isothionic, lactobionic, ascorbic and succinic acids; organic sulfonic acids, such as methanesulfonic, ethanesulfonic, benzenesulfonic and p-tolylsulfonic acids; and inorganic acids, such as hydrochloric, sulfuric, phosphoric, hydrobromic and sulfamic acids.

The pharmaceutically acceptable salt may be also a salt of an amino group, or a 3-hydroxy ester.

Examples of pharmaceutically acceptable salts of an amino group include salts of the inorganic or strong organic acids noted above.

Examples of pharmaceutically acceptable salts of a hydroxy group include the anion of the compound in combination with a suitable cation, such as Na+, and NW_(n) H_(m), wherein W is a C₁ -C₁₈ alkyl group, and n and m are 0 to 4, and n+m is 4.

The compounds of Formula (I) can be prepared by a methodology starting from the 3β-acetoxyandrost-5-en-17-one represented by Formula (II) (which is commercially available from Aldrich, Milwaukee, Wis.): ##STR3##

This method involves conversion of the compound represented by Formula (II) following the Vilsmeier-Haack reaction (Siddiqui et al, J. Heterocyclic Chem., 32:353-354 (1995)) with phosphorous oxychloride (POCl₃) and dimethylformamide (DMF) to give the 3β-acetoxy-17-chloro-16-formylandrosta-5,16-diene represented by Formula (III): ##STR4##

Treatment of the compound represented by Formula (III) with a variety of azole nucleophiles in (DMF) at 75-80° C. under N₂ atmosphere gives high yields (73-92%) of the 17-azole-Δ¹⁶ steroids represented by Formula (IV): ##STR5##

wherein X represents A, B and C rings of the compound represented by Formula (III).

Following decarbonylation at C-₁₆ and cleavage of the 3β-acetoxy group, the 5-en-3β-ol-17-azole compounds of Formula (V) are obtained; while oppenauer oxidation of these compounds yields their corresponding 4-en-3-one-17-azole counterparts. ##STR6##

wherein X is as defined for the compounds of Formula (I).

Analogues of a saturated D-ring can be prepared from the corresponding Δ¹⁶ compounds by reduction with diimide (Potter et al, supra).

A mechanism for the formation of the compound represented by Formula (IV) is outlined in the following reaction scheme; a nucleophilic vinylic "addition-elimination" substitution reaction. Recent studies in this field favor path a of the Reaction Scheme (Rappoport, Acc. Chem. Res., 25:474-480 (1992)). ##STR7##

It has been found in the present invention that the azoles represented by Formula (I) are potent inhibitors of 17α-hydroxylase-C₁₇,20 -Lyase (hereafter referred to as "P450₁₇α "), the enzyme which catalyzes the conversion of progesterone and pregnenolone into the androgens, androstenedione and dehydroepiandrosterone, respectively. Since androgens are implicated in the etiology of a number of androgen-dependent diseases, e.g., prostate cancer, inhibitors of P450₁₇α are useful for the treatment of these diseases. In addition, in has been found in the present invention that some of these potent P450₁₇α inhibitors are also potent inhibitors of 5α-reductase, while some have strong anti-androgen activity. Because of their dual activities, the compounds of the present invention are believed to be more effective than the current agents in the treatment of prostate cancer and other disease states which depend upon androgens.

Thus, as discussed above, in still another embodiment, the above-described objects of the present invention have been met by a pharmaceutical composition for reducing plasma levels of testosterone and/or DHT in a mammal in need of such treatment comprising:

(A) a pharmaceutically effective amount of at least one compound of Formula (I) or a pharmaceutically acceptable salt thereof, and

(B) a pharmaceutically acceptable carrier or diluent.

The compound may be present in the composition in amount of 0.01 to 99.9 wt %, and more preferably in about 0.1 to 99 wt % of the composition. Still more preferably, the compound may be present in the composition in an amount of about 1.0 to 70 wt % of the composition.

The particular carrier or diluent employed is not critical to the present invention. Typically, the carrier or diluent may be a solid, liquid, or vaporizable carrier, or combinations thereof. Examples of such carriers or diluents include water, ethyl alcohol, propylene glycol, ethoxylated isostearyl alcohol, polyoxylated isostearyl alcohol, polyoxyethylene sorbitol and sorbitate esters. In these instances, adequate amounts of isotonicity adjusters, such as sodium chloride, glucose or glycerin can be added to make the preparations isotonic. Aqueous sterile injection solutions may further contain anti-oxidants, buffers, bacteriostats, and like additives acceptable for parenteral formulations.

In addition, the pharmaceutical composition can contain excipients, such as fillers, binders, wetting agents, disintegrators, surface-active agents, lubricants, and the like.

The pharmaceutical composition can be prepared in accordance with accepted pharmaceutical procedures, for example, as described in Remington's Pharmaceutical Sciences, Seventeenth Edition, ed. Gennaro, Mack Publishing Company, Easton, Pa. (1985).

The composition may be in a unit dosage form. Typical unit dosage forms include tablets, pills, powders, solutions, suspensions, emulsions, granules, capsules, suppositories, injectable solutions and suspensions.

As discussed above, in yet another embodiment, the above-described objects of the present invention have been met by a method of inhibiting synthesis, i.e., plasma levels, of testosterone and/or DHT comprising administering to a subject in need of such treatment, a pharmaceutically effective amount of at least one compound of Formula (I) or a pharmaceutically acceptable salt thereof.

The mode of administering is not critical to the present invention. Examples of the mode of administering include oral, rectal, nasal, topical (including buccal and sublingual), and parenteral (including subcutaneous, intramuscular, intravenous, intradermal, and transdermal) administration. The preferred modes of administration are oral, nasal, topical and parenteral administration.

The amount of compound of Formula (I) to be administered varies depending upon the age, weight and species of the subject, the general health of the subject, the severity of the symptoms, whether the composition is being administered alone or in combination with other therapeutic agents, the incidence of side-effects and the like.

In general, a dose suitable for treatment of BPH is about 0.001 to 100 mg/kg body weight/dose, preferably about 0.01 to 60 mg/kg body weight/dose, and still more preferably about 0.1 to 40 mg/kg body weight/dose per day. A dose suitable treatment of prostate cancer is about 0.001 to 100 mg/kg body weight/dose, preferably about 0.01 to 60 mg/kg body weight/dose, and still more preferably about 0.1 to 40 mg/kg body weight/dose per day. The desired dose may be administered as 1 to 6 or more subdoses administered at appropriate intervals throughout the day. The compounds may be administered repeatedly over a period of months or years, or may be slowly and constantly infused to the subject. Higher and lower doses may also be administered.

The daily dose may be adjusted taking into account, for example, the above-identified variety of parameters. Typically, the compounds of Formula (I) may be administered in an amount of about 0.001 to 100 mg/kg body weight/day. However, other amounts may also be administered.

To achieve good plasma concentrations, the compounds may be administered, for instance, by intravenous injection of an approximate 0.1 to 1.0% (w/v) solution of the active ingredient, optionally in saline, or orally administered as a bolus.

In yet another embodiment, the above-described objects of the present invention have been met by a method of treating BPH or prostate cancer, or inhibiting the growth of prostate tissue, in a subject in need of such treatment comprising administering a pharmaceutically effective amount of the compound of Formula (I) or a pharmaceutically acceptable salt thereof.

The above-described methods may be practiced by administration of the compounds by themselves or in a combination with other active ingredients, including other steroid compounds and/or therapeutic agents. Other therapeutic agents suitable for use herein are any compatible drugs that are effective by the same or other mechanisms for the intended purpose, or drugs that are complementary to those of the present agents. These compounds include agents that are effective for the inhibition of testosterone and/or DHT synthesis, and in the treatment of prostate cancer, anticancer agents. Examples of such compounds include ketoconazole, finasteride, and 4MA.

The compounds utilized in combination therapy may be administered simultaneously, in either separate or combined formulations, or at different times than the present compounds, e.g., sequentially, such that a combined effect is achieved. The amounts and regime of administration will be adjusted by the practitioner, by preferably initially lowering their standard doses and then titrating the results obtained.

The following examples are provided for illustrative purposes only, and are in no way intended to limit the scope of the present invention.

In the Synthesis Examples (see FIGS. 1A-1F), ¹ H NMR data (300 MHZ) (internal standard Me₄ Si=δ 0) were recorded on a QE 300, NMR system, General Electric Co., in CDCl₃ unless otherwise stated.

Synthesis reactions were monitored by TLC on silica gel plates (Merck Type 60H), and visualized by dipping in 4.0% (v/v) sulfuric acid in ethanol followed by heating at about 120-150° C.

Flash column chromatography was carried out on silica gel (Merck grade 9385, 230-400 mesh 60 Å) in the solvent systems indicated.

LP refers to petroleum fractions, b.p. 35-60° C.

Solutions were dried using anhydrous Na₂ SO₄.

Melting points were measured on a Fischer-Johns Melting Point apparatus and are uncorrected.

SYNTHESIS EXAMPLE 1

This Example describes a Vilsmeier-Haack reaction of 3β-acetoxyandrost-5-en-17-one (Compound 1), 3β-acetoxy-17-chloroandrosta-5,16-diene (Compound 2) and 3β-acetoxy-17-chloro-16-formylandrosta-5,16-diene (Compound 3).

A solution of 3β-acetoxyandrost-5-en-17-one (Compound 1) (2.0 g, 6.6 mmol) in dry chloroform (40 ml) was added dropwise to a cold and stirred solution of POCl₃ (10 ml) and DMF (10 ml). The mixture was allowed to attain room temperature, and then refluxed under N₂ for 5 h. It was then concentrated under reduced pressure, and poured onto ice followed by extraction with a mixture of ether and EtOAc (8:2 (v/v)). The combined extracts were washed with brine, dried (Na₂ SO₄), and solvent removed to give a white solid (2.3 g). Analytical TLC (silica gel, pet. ether/EtOAc, (10:1)) revealed the presence of two compounds, both less polar than (Compound 1). Purification by flash column chromatography (FCC, silica gel, pet. ether/EtOAc, (15:1)) gave Compound 2 (0.24 g, 11.4%) and Compound 3 (1.75 g, 77%).

Analytical and spectroscopic data for Compound 2 and Compound 3 were as follows:

Compound 2: m.p. 160-162° C.; ¹ H NMR (300 MHz, CDCl₃): δ 0.89 (3H, s, 18-Me), 1.06 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.61 (1H, m, 3α-H), 5.39 (1H, d, J=4.8 Hz, 6-H) and 5.63 (1H, d, J=0.9 Hz, 16-H). Analysis calculated for C₂₁ H₂₉ O₂ Cl: C, 72.38; H, 8.39. Found: C, 72.72; H, 8.60. HRMS calcd. for C₂₁ H₂₉ O₂ Cl, 348.1856, found 348.1766.

Compound 3: m.p. 163-165° C.; ¹ H NMR (300 MHz, CDCl₃): δ 0.99 (3H, s, 18-Me), 1.07 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.60 (1H, m, 3α-H), 5.40 (1H, d, J=4.8 Hz, 6-H) and 9.99 (1H, s, 16-CHO). Analysis calculated for C₂₂ H₂₉ O₃ Cl: C, 70.11; H, 7.76. Found: C, 70.18; H, 7.82. HRMS calcd. for C₂₁ H₂₉ O₃ Cl, 376.1805, found 376.1748.

SYNTHESIS EXAMPLE 2

This Example describes the preparation of 3β-acetoxy-17-(1H, 1,2,4-triazol-1-yl)-16-formylandrosta-5,16-diene (Compound 4).

A solution of 3β-acetoxy-17-chloro-16-formylandrosta-5,16-diene (Compound 3) (0.6 g, 1.6 mmol) and sodium triazolate (436 mg, 4.79 mmol, 3 equiv.) in dry DMF (10 ml) under N₂ was stirred at 78° C. for 30 min. After cooling to room temperature, the reaction mixture was poured onto ice-water (250 ml), and the resulting white precipitate was filtered, washed with water, and dried to give a white solid. This was crystallized from hexane/EtOAc to give Compound 4 (580 mg, 89%), m.p. 160-162° C. ¹ H NMR (300 MHz, CDCl₃): δ 1.08 (3H, s, 18-Me), 1.20 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.61 (1H, m, 3α-H), 5.42 (1H, d, J=4.2 Hz, 6-H), 8.13 (1H, s, 3'-H), 8.42 (1H, s, 5'-H) and 10.12 (1H, s, 16-CHO). Analysis calculated for C₂₄ H₃₁ O₃ N₃ : C, 70.37; H, 7.63; N, 10.27 Found: C, 70.28; H, 7.82; N, 10.21. HRMS calcd. for C₂₄ H₃₁ O₃ N₃ 409.2365, found 409.2348.

SYNTHESIS EXAMPLE 3

This Example described the preparation of 3β-acetoxy-17-(1H,1,2,4-triazol-1-yl)androsta-5,16-diene (Compound 5) by either method (1) or method (2). the latter method gives a better yield of Compound 5.

Method (1):

A mixture of the 17-triazole-16-formyl (Compound 4) (450 mg, 1.22 mmol) in dry toluene (15 ml) and Wilkinson's catalyst (1.04 g, 1.253 mmol, 1.025 equiv.) was refluxed under N₂ for 2 h. The reaction mixture was concentrated to give a brown residue. This was treated with CH₂ Cl₂ (saturated with NH₃), and the resulting yellow by-product was filtered; the filtrate concentrated to give a light yellow solid (375 mg) which was subjected to chromatography over silica gel. Elution with CH₂ Cl₂ (saturated with NH₃) afforded Compound 5 (300 mg, 72%); m.p. 187-190° C. (from hexane/EtOAc). ¹ H NMR (300 MHz, CDCl₃): δ 1.08 (3H, s, 18-Me), 1.10 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.62 (1H, m, 3α-H), 5.42 (1H, d, J=4.5 Hz, 6-H), 5.96 (1H, s, 16-H), 7.99 (1H, s, 3'-H) and 8.26 (1H, s, 5'-H). Analysis calculated for C₂₃ H₃₁ O₂ N₃ : C, 72.40; H, 8.19; N, 11.02. Found: C, 72.30; H, 8.16; N, 11.00. HRMS calcd. for C₂₃ H₃₁ O₂ N₃ 381.2416, found 381.2406.

Method (2):

A mixture of bis(triphenylphosphine)rhodium(1) carbonyl chloride (338 mg, 0.489 mmol) and 1,3-bis(diphenylphosphino)propane (440 mg, 1.065 mmol) in dry xylenes (40 ml) was stirred at 80° C. under N₂ for 15 min when a fine yellow precipitate formed. 3β-Acetoxy-17-(1H-1,2,4-triazol-1-yl)-16-formylandrosta-5,16-diene (Compound 4), 2.0 g, 4.89 mmol) was added, and the mixture was refluxed under N₂ for 15 h; then cooled, and concentrated under reduced pressure. The crude product was dissolved in EtOAc (200 ml) and filtered through a 4.0 cm pad of silica gel (70-230 mesh). The silica was washed with EtOAc (2×200 ml), and the combined filtrates were evaporated to give the crude product. This was purified by FCC (silica gel, pet. ether/EtOAc/Et₃ N, (7.7:2:0.3)) to give Compound 5 (1.63 g, 87.6%). Spectroscopic and analytical data were the same as given in Method 1 above.

SYNTHESIS EXAMPLE 4

This Example describes the preparation of 3β-hydroxy-17-(1H, 1,2,4-triazol-1-yl)androsta-5,16-diene (Compound 6), VN/63-1.

The acetate of Compound 5 (150 mg) in dry methanol (2.0 ml) under N₂ was treated with 10% methanolic KOH (1.0 ml). The mixture was stirred at room temperature for 1 h, and then concentrated under reduced pressure to a volume of about 1.0 ml. It was diluted with ice-cold water (20 ml), the resulting precipitate was washed (H₂ O), dried to give Compound 6 (120 mg, 90%); m.p. 185-189° C. (decomp.). ¹ H NMR (300 MHz, CDCl₃): δ 1.07 (3H, s, 18-Me), 1.10 (3H, s, 19-Me), 3.55 (1H, m, 3α-H)), 5.39 (1H, d, J=4.8 Hz, 6-H), 5.96 (1H, s, 16-H), 7.99 (1H, s, 3'-H) and 8.26 (1H, s, 5β-H). Analysis calculated for C₂ H₂₉ ON₃ : C, 74.29; H, 8.83; N, 12.38. Found: C, 74.20; H, 8.63; N, 12.34. HRMS calcd. for C₂₁ H₂₉ ON₃ 339.2311, found 339.2297.

SYNTHESIS EXAMPLE 5

This Example describes the preparation of 17-(1H, 1,2,4-triazol-1-yl)androsta-4,16-diene-3-one (Compound 7), VN/107-1.

From a mixture of 3β-hydroxy-17-(1H-1,2,4-triazol-1-yl)-androsta-5,16-diene (Compound 6) (250 mg, 0.7381 mmol), 1-methyl-4-piperidone (1.18 ml) and toluene (20 ml) was distilled off about 4.0 ml. Aluminum isopropoxide (253 mg 1.241 mmol) was then added and the mixture was refluxed under N₂ for 4 h. After cooling, the mixture was diluted with EtOAc (30 ml), washed successively with 5.0% aq. NaHCO₃ (×3) and brine (×2), and then dried (Na₂ SO₄). The solvent was evaporated and the crude product was purified by FCC (silica gel, CH₂ Cl₂ /EtOH, (30:1)) to give Compound 7 (200 mg, 80.5%), mp 247-250° C. ¹ H NMR (300 MHz, CDCl₃): δ 1.13 (3H, s, 18-Me), 1.24 (3H, s, 19-Me), 5.76 (1H, s, 16-H), 5.95 (1H, s, 4-H), 8.00 (1H, s, 3'-H), and 8.26 (1H, s, 5'-H). Analysis calculated for C₂₁ H₂₇ ON₃ :C, 74.73; H, 8.07; N, 12.46. Found: C, 74.54; H, 8.00; N, 12.50.

SYNTHESIS EXAMPLE 6

This Example describes the preparation of 3β-hydroxy-17β-(1H-1,2,4-triazol-1-yl)androst-5-ene (Compound 8), VN/111-1.

A mixture of Compound 6 (200 mg, 0.590 mmol), hydrazine hydrate (0.57 ml, 1.77 mmol), and acetic acid (0.35 ml) in EtOH (20 ml) was heated at 80° C. while a stream of air was passed through the solution for 6 h. The reaction mixture was concentrated to about 10 ml and after cooling, it was diluted with EtOAc (30 ml) followed by washing with saturated aqueous NaHCO₃ (10 ml×2), and brine (10 ml ×2), dried (Na₂ SO₄) and concentrated to give a crude product (190 mg). This was purified by FCC (silica gel, CH₂ Cl₂ /EtOH, (30:1)) to give the Compound 8 (150 mg, 74.6%), mp 246-248° C. ¹ H NMR (300 MHz, CDCl₃): δ 0.56 (3H, s, 18-Me), 1.01 (3H, s, 19-Me), 3.53 (1H, m, 3α-H), 4.19 (1H, t, J=9.6 Hz, 17α-H), 5.37 (1H, d, J=5.2 Hz, 6-H), 7.93 (1H, s, 3'-H) and 8.10 (1H, s, 5'-H). Analysis calculated for C₂₁ H₃₁ ON₃ : C, 73.85; H, 9.16; N, 12.31. Found: C, 73.75; H, 9.40; N, 12.28.

SYNTHESIS EXAMPLE 7

This Example describes the preparation of -3β-acetoxy-17-(1H-imidazol-1-yl)-16-formylandrosta-5,16-diene (Compound 9).

A mixture of 3β-acetoxy-17-chloro-16-formylandrosta-5,16-diene (Compound 3) (500 mg, 1.329 mmol), imidazole (136 mg, 2.0 mmol) and K₂ CO₃ (551 mg, 3.99 mmol) in dry DMF was heated at about 80° C. under N₂ for 2 h. After cooling to room temperature, the reaction mixture was poured onto ice-cold water (100 ml), and the resulting white precipitate was filtered, washed with water, and dried to give a white solid. This was titrated with boiling mixture of hexane/EtOAc to give Compound 9 (520 mg, 92%), mp 218-220° C. ¹ H NMR (300 MHz, CDCl₃): δ 1.08 (6H, s, 18 and 19-Me), 2.04 (3H, s, 3β-OAc), 4.61 (1H, m, 3α-H), 5.42 (1H, d, J=4.8 Hz, 6-H), 7.11 (1H, s, 4'-H), 7.23 (1H, s, 5'-H), 7.63 (1H, s, 2'-H) and 9.74 (1H, s, 16-CHO). Analysis calculated for C₂₅ H₃₂ O₃ N₂ : C, 73.49; H, 7.90; N, 6.88; Found: C, 73.34; H, 8.05; N, 6.65. HRMS calcd. for C₂₅ H₃₂ O₃ N₂ 408.2413, found 408.2426.

SYNTHESIS EXAMPLE 8

This Example describes the preparation of 3β-acetoxy-17-(1H-imidazol-1-yl)androsta-5,16-diene (Compound 10).

A solution of 3β-acetoxy-17-(1H-imidazol-1-yl)-16-formylandrosta-5,16-diene (Compound 9) (4.0 g, 9.8 mmol) in dry benzonitrile (40 ml) was refluxed in the presence of 10% palladium on activated charcoal (2.0 g, i.e., 50% weight of the 16-formyl azole) for 3.5 h. After cooling to room temperature, the catalyst was removed by filtration through a Celite pad. The filtrate was evaporated and the residue was purified by FCC (silica gel, pet. ether/EtOAc/Et₃ N, (6:4:0.3)) to give Compound 11 (2.72 g, 73.2%); mp 138-140° C. ¹ H NMR (300 MHz, CDCl₃): δ 1.0 (3H, s, 18-Me), 1.07 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.60 (1H, m, 3α-H), 5.41 (1H, s, 6-H), 5.68 (1H, s, 16-H), 7.02 (1H, s, 4'-H), 7.08 (1H, s, 5'-H), and 7.60 (1H, s, 2'-H). Analysis calculated for C₂₅ H₃₂ O₃ N₂ : C, 73.49; H, 7.90; N, 6.88; Found: C, 73.34; H, 8.05; N, 6.65. HRMS calcd. for C₂₅ H₃₂ O₃ N₂ 408.2413, found 408.2426.

SYNTHESIS EXAMPLE 9

This Example describes the preparation of 3β-hydroxy-17-(1H-imidazol-1-yl)androsta-5,16-diene (Compound 11), VN/85-1.

The method followed that described in Synthesis Example 4, but using 3β-acetoxy-17-(1H-imidazol-1-yl)-androsta-5,16-diene (Compound 10) (2.72 g, 7.16 mmol) in methanol (30 ml), 10% methanolic KOH (17 ml), and the mixture was stirred at room temp under N₂ for 2 h. Following the conentional workup gave rise to Compound 11 (2.34 g, 95%), mp 220-223° C. ¹ H NMR (300 MHz, CDCl₃): δ 1.01 (3H, s, 18-Me), 1.06 (3H, s, 19-Me), 3.53 (1H, m, 3α-H), 5.39 (1H, d, J=5 Hz, 6-H), 5.69 (1H, s, 16-H), 7.08 (2H, br. s, 4' and 5'-H), and 7.64 (1H, s, 2'-H). Analysis calculated for C₂₅ H₃₀ ON₂ : C, 78.05; H, 8.94; N, 8.28; Found: C, 78.02; H, 9.00; N, 8.22. HRMS calcd. for C₂₂ H₃₀ ON₂ 338.2358, found 338.2361.

SYNTHESIS EXAMPLE 10

This Example describes the preparation of 17-(1H-imidazol-1-yl)androsta-4,16-diene-3-one (Compound 12), VN/108-1.

The method followed that described in Synthesis Example 5, but using 3β-hydroxy-17-(1H-imidazol-1-yl)-androsta-5,16-diene (Compound 11) (200 mg, 0.59 mmol). Purification of the crude product by FCC (silica gel, CH₂ Cl₂ /EtOH, (40:1)) gave Compound 12 (150 mg, 75.4%), mp 147-150° C. ¹ H NMR (300 MHz, CDCl₃): δ 1.03 (3H, s, 18 -Me), 1.23 (3H, s, 19-Me), 5.69 (1H, s, 6-H), 5.76 (1H, s, 16-H), 7.10 (2H, br. s, 4' and 5'-H), and 7.63 (1H, s, 2'-H). Analysis calculated for C₂₂ H₂₈ ON₂ : C, 78.52; H, 8.39; N, 8.33; Found: C, 78.30; H, 8.42; N, 8.23.

SYNTHESIS EXAMPLE 11

This Example describes the preparation of 3β-Hydroxy-17β-(1H-imidazol-1-yl) androst-5-ene (Compound 13), VN/112-1.

The method followed that described for Synthesis Example 6, but using 3β-hydroxy-17-(1H-imidazol-1-yl)androsta-5,16-diene (Compound 11) (170 mg, 0.505 mmol) and after purification by FCC (silica gel, CH₂ Cl₂ /EtOAc/Et₃ N, (7.7:2.0:0.3)) gave Compound 13 (110 mg, 64.3%), mp 255-258° C. ¹ H NMR (300 MHz, CDCl₃): δ 0.58 (3H, s, 18-Me), 1.01 (3H, s, 19-Me), 3.53 (1H, m, 3α-H), 3.98 (1H, t, J=9.8 Hz, 17α-H), 5.38 (1H, d, J=5.4 Hz, 6-H), 6.96 (1H, s, 4'-H), 7.04 (1H, s, 5'-H), and 7.54 (1H, s, 2'-H). Analysis calculated for C₂₂ H₃₂ ON₂ : C, 77.59; H, 9.48; N, 8.23; Found: C, 77.55; H, 9.40; N, 8.31.

SYNTHESIS EXAMPLE 12

This Example describes the preparation of 17β-(1H-imidazol-1-yl)androst-4-ene-3-one (Compound 14), VN/113-1.

The method followed that described for Synthesis Example 5, but using 3β-Hydroxy-17β-(1H-imidazol-1-yl)androst-5-ene (Compound 13) (60 mg, 0.1765 mmol). Purification of the crude product by FCC (silica gel, CH₂ Cl₂ /EtOH, (30:1)) gave Compound 12 (43 mg, 72%), mp 196-198° C. ¹ H NMR (300 MHz, CDCl₃): δ 0.61 (3H, s, 18-Me), 1.19 (3H, s, 19-Me), 3.97 (1H, t, J=9.6 Hz, 17α-H), 5.75 (1H, s, 6-H), 6.97 (1H, s, 4'-H)07 (2H, s, 5'-H), and 7.57 (1H, s, 2'-H). Analysis calculated for C₂₂ H₃₀ ON₂ : C, 78.05; H, 8.94; N, 8.23; Found: C, 78.10; H, 8.90; N, 8.21.

SYNTHESIS EXAMPLE 13

This Example describes the reaction of 3β-acetoxy-17-chloro-16-formylandrosta-5,16-diene (Compound 3) with 1H-1,2,3-Triazole and K₂ CO₃ to give 3β-acetoxy-17-(2H-1,2,3-triazol-2-yl)-16-formylandrosta-5,16-diene (Compound 15) and 3β-acetoxy-17-(1-H-1,2,3-triazol-1-yl)-16-formylandrosta-5,16-diene (Compound 16), respectively.

A mixture of 3β-acetoxy-17-chloro-16-formylandrosta-5,16-diene (compound 3) (2.0 g, 5.23 mmol), 1H-1,2,3-triazole (552 mg, 7.98 mmol) and K₂ CO₃ (2.20 g, 15.95 mmol) in dry DMF (40 ml) was heated at 80° C. under N₂ atmosphere for 2 h. After cooling to room temperature, the reaction mixture was poured onto ice-water (400 ml), and the resulting precipitate was filtered, washed with water, and dried to give a dirty white solid. This was subjected to flash chromatography, and on elution with pet. ether/EtOAc/Et₃ N, (6.7:3:0.3), gave firstly 3β-acetoxy-17-(2H-1,2,3-triazol-2-yl)-16-formylandrosta-5,16-diene (Compound 15) (684 mg, 28%), mp 145-148° C. ¹ H NMR (300 MHz, CDCl₃): δ 1.09 (3H, s, 18-Me), 1.26 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.61 (1H, m, 3α-H), 5.42 (1H, d, J=4.2 Hz, 6-H), 7.85 (2H, s, 4' and 5'-H) and 10.55 (1H, s, 16-CHO). Analysis calculated for C₂₄ H₃₁ O₃ N₃ : C, 70.37; H, 7.63; N, 10.27. Found: C, 70.30; H, 7.95; N, 9.87. Further elution with pet. ether/EtOAc/Et₃ N, (6:4:0.3) gave 3β-acetoxy-17-(1H-1,2,3-triazol-1-yl)-16-formylandrosta-5,16-diene (Compound 16) (1.48 g, 62%), mp 215-217° C. 1H NMR (300 MHz, CDCl₃): δ 1.08 (3H, s, 18-Me), 1.18 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.63 (1H, m, 3α-H), 5.43 (1H, d, J=4.2 Hz, 6-H), 7.85 (2H, s, 4' and 5'-H) and 9.94 (1H, s, 16-CHO). Analysis calculated for C₂₄ H₃₁ O₃ N₃ : C, 70.37;

H, 7.63; N, 10.27. Found: C, 70.37; H, 7.86; N, 10.10.

SYNTHESIS EXAMPLE 14

This Example describes the preparation of 3β-acetoxy-17-(2H-1,2,3-triazol-2-yl)androsta-5,16-diene (Compound 17).

A mixture of 3β-acetoxy-17-(2H-1,2,3-triazol-2-yl)-16-formylandrosta-5,16-diene (Compound 16) (140 mg, 0.342 mmol) in dry toluene (6.0 ml) and tris(triphenylphoshpine)rhodium(1) chloride (Wilkinson's catalyst,; 332 mg 0.351 mmol) was refluxed under N₂ for 5 h. After cooling to room temperature, EtOH (12 ml) was added and on further cooling at approx. 0° C., the yellow precipitate of bis (triphenylphosphine)carbonylchloro rhodium(1) formed. Following filtration, the filtrate was concentrated to give the crude product. This was purified by FCC (silica gel, pet. ether/EtOAc, (15:1)) to give Compound 17, a white solid (120 mg, 92%), mp 154-155° C. ¹ H NMR (300 MHz, CDCl₃): δ 1.09 (3H, s, 18-Me), 1.14 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.60 (1H, m, 3α-H), 5.42 (1H, d, J=4.2 Hz, 6-H), 6.17 (1H, br. s, 16-H) and 7.68 (2H, s, 4' and 5'-H). Analysis calculated for C₂₃ H₃₁ O₂ N₃ : C, 72.40; H, 8.19; N, 11.02. Found: C, 72.16; H, 8.32; N, 10.90.

SYNTHESIS EXAMPLE 15

This Example describes the preparation of 3β-hydroxy-17-(2H-1,2,3-triazol-2-yl)androsta-5,16-diene (Compound 18), VN/90-1.

The method followed that described in Synthesis Example 4, but using 3β-acetoxy-17-(2H-1,2,3-triazol-2-yl)androsta-5,16-diene (Compound 17) (110 mg, 0.289 mmol). Purification of the crude product by FCC (silica gel, pet. Ether/EtOAc, (3:1)) gave Compound 18 (95 mg, 97.1%) which was crystallized from hexane/EtOAc, mp 176-177° C. ¹ H NMR (300 MHz, CDCl₃): δ1.09 (3H, s, 18-Me), 1.15 (3H, s, 19-Me), 3.54 (1H, m, 3α-H), 5.39 (1H, d, J=5.1 Hz, 6-H), 6.17 (1H, s, 16-H) and 7.68 (2H, s, 4' and 5'-H). Analysis calculated for C₂₁ H₂₉ ON₃ : C, 74.29; H, 8.83; N, 12.38. Found: C, 72.16; H, 8.32; N, 10.90.

SYNTHESIS EXAMPLE 16

This Example describes the preparation of 3β-acetoxy-17-(1H-1,2,3 -triazol-1-yl) androsta-5,16-diene (Compound 19).

The method followed that described for Synthesis Example 3, Method 2, but using 3β-acetoxy-17-(1H-1,2,3-triazol-1-yl)-16-formylandrosta-5,16-diene (Compound 16) (2.0 g, 4.89 mmol). Purification of the crude product by FCC (silica gel, pet. ether/EtOAc/Et₃ N, (7.7:2:0.3)) gave Compound 19 (1.67 g, 89.9%), mp 158-160° C. ¹ H NMR (300 MHz, CDCl₃): δ 1.09 (3H, s, 18-Me), 1.14 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.60 (1H, m, 3α-H), 5.40 (1H, d, J=4.2 Hz, 6-H), 5.98 (1H, br. s, 16-H) and 7.73 (2H, s, 4' and 5'-H). Analysis calculated for C₂₃ H₃₁ O₂ N₃ : C, 72.40; H, 8.19; N, 11.02. Found: C, 72.20; H, 8.21; N, 11.00.

SYNTHESIS EXAMPLE 17

This Example describes the preparation of 3β-hydroxy-17-(1H-1,2,3-triazol-1-yl)androsta-5,16-diene (Compound 20), VN/87-1.

The method followed that described in Synthesis Example 4, but using 3β-acetoxy-17-(1H-1,2,3-triazol-1-yl)androsta-5,16-diene (Compound 19) (1.5 g, 3.94 mmol). The product was recrystallized from EtOAc/MeOH to give Compound 19 (1.20 g, 90%), mp 220-224° C. ¹ H NMR (300 MHz, CDCl₃): δ 1.08 (3H, s, 18-Me), 1.14 (3H, s, 19-Me), 3.54 (1H, m, 3α-H), 5.39 (1H, d, J=4.8 Hz, 6-H), 5.97 (1H, s, 16-H) and 7.72 (2H, s, 4' and 5'-H). Analysis calculated for C₂₁ H₂₉ ON₃ : C, 74.29; H, 8.83; N, 12.38. Found: C, 74.10; H, 8.70; N, 12.15.

SYNTHESIS EXAMPLE 18

This Example describes the preparation of 17-(1H-1,2,3-triazol-1-yl)androsta-4,16-diene-3-one (Compound 21), VN/109-1.

The method followed that described in Synthesis Example 5, but using 3β-hydroxy-17-(1H-1,2,3-triazol-1-yl)-androsta-5,16-diene (Compound 20) (400 mg, 1.18 mmol). Purification of the crude product by FCC (silica gel, CH₂ Cl₂ /EtOH, (30:1)) gave Compound 21 (358 mg, 90%), mp 118-120° C. ¹ H NMR (300 MHz, CDCl₃): δ 1.17 (3H, s, 18-Me), 1.25 (3H, s, 19-Me), 5.76 (1H, s, 16-H), 5.95 (1H, s, 4-H), 7.73 (1H, s, 5'-H), and 7.74 (1H, s, 4'-H). Analysis calculated for C₂₁ H₂₇ ON₃ :C, 74.73; H, 8.07; N, 12.46. Found: C, 74.65; H, 8.11; N, 12.34.

SYNTHESIS EXAMPLE 19

This Example describes the preparation of 3β-acetoxy-17-(2H-tetrazol-2-yl)-16-formylandrosta-5,16-diene (Compound 22) and 3β-Acetoxy-17-(1H-tetrazol-1-yl)-16-formylandrosta-5,16-diene (Compound 23).

The method followed that described for Synthesis Example 7, but using 3β-acetoxy-17-chloro-16-formylandrosta-5,16-diene (Compound 3) (0.5 g, 1.329 mmol), 1H-tetrazole (187 mg, 1.59 mmol) and Li₂ CO₃ (287 mg, 3.94 mmol) gave a crude product (520 mg). Flash column chromatography on elution with pet. ether/EtOAc, (5:1), gave firstly 3β-acetoxy-17-(2H-tetrazol-2-yl)-16-formylandrosta-5,16-diene (Compound 22) (92 mg, 28.2%), mp 170-172° C. (decomp.). ¹ H NMR (300 MHz, CDCl₃): δ 1.1 (3H, s, 18-Me), 1.29 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.62 (1H, m, 3α-H), 5.42 (1H, d, J=4.2 Hz, 6-H), 8.68 (1H, s, 5'-H) and 10.46 (1H, s, 16-CHO). Analysis calculated for C₂₃ H₃₀ O₃ N₄ : C, 67.28; H, 7.37; N, 13.65. Found: C, 67.15; H, 7.61; N, 13.45. Further elution with p. ether/EtOAc/Et₃ N (7:3:0.3) gave 3β-acetoxy-17-(1H-tetrazol-1-yl)-16-formylandrosta-5,16-diene (Compound 23) (146 mg, 44.6%), mp 196-198° C. (decomp.). ¹ H NMR (300 MHz, CDCl₃): δ 1.09 (3H, s, 18-Me), 1.20 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.62 (1H, m, 3α-H), 5.43 (1H, d, J=4.8 Hz, 6-H), 8.93 (1H, s, 5'-H) and 9.92 (1H, s, 16-CHO). Analysis calculated for C₂₃ H₃₀ O₃ N4: C, 67.28; H, 7.37; N, 13.65. Found: C, 67.05; H, 7.65; N, 13.45.

SYNTHESIS EXAMPLE 20

This Example describes the preparation of 3β-acetoxy-17-(2H-tetrazol-2-yl) androsta-5,16-diene (Compound 24).

The method followed that described for Synthesis Example 14, but using 3β-acetoxy-17-(2H-tetrazol-2-yl)-16-formylandrosta-5,16-diene (Compound 22) (124 mg, 0.302 mmol). Purification of the crude product by FCC (silica gel, pet. ether/EtOAc (10:1)) gave Compound 24 (61 mg, 52.8%), mp 155-156° C. ¹ H NMR (300 MHz, CDCl₃): δ 1.10 (3H, s, 18-Me), 1.17 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.62 (1H, m, 3α-H), 5.42 (1H, d, J=4.85Hz, 6-H), 6.46 (1H, s, 16-H) and 8.52 (1H, s, 5'-H). Analysis calculated for C_(22=l) H₃₀ O₂ N4: C, 69.07; H, 7.91; N, 14.65. Found: C, 69.01; H, 8.00; N, 14.45.

SYNTHESIS EXAMPLE 21

This Example describes the preparation of 3β-hydroxy-17-(2H-tetrazol-2-yl)androsta-5,16-diene (Compound 25), VN/96-1.

The method followed that described for Synthesis Example 4, but using 3β-acetoxy-17-(2H-tetrazol-2-yl)androsta-5,16-diene (Compound 24) (51 mg, 0.134 mmol). Recrystallization of the product from hexane/EtOAc gave Compound 25 (42 mg, 88%), mp 195-198° C. NMR (300 MHz, CDCl₃): δ 1.09 (3H, s, 18-Me), 1.17 (3H, s, 19-Me), 3.55 (1H, m, 3α-H), 5.43 (1H, d, J=5.2Hz, 6-H), 6.46 (1H, s, 16-H) and 8.53 (1H, s, 5'-H). Analysis calculated for C₂₀ H₂₈ ON4: C, 70.54; H, 8.29; N, 16.46. Found: C, 70.51; H, 8.25; N, 16.50.

SYNTHESIS EXAMPLE 22

This Example describes the preparation of 3β-acetoxy-17-(1H-tetrazol-1-yl)androsta-5,16-diene (Compound 26).

The method followed that described for Synthesis Example 14, but using 3β-acetoxy-17-(1H-tetrazol-1-yl)-16-formylandrosta-5,16-diene (Compound 23) (140 mg, 0.3415 mmol). Purification of the crude product by FCC (silica gel, pet. ether/EtOAc (3:1)) gave Compound 26 (45 mg, 34.5%); ¹ H NMR (300 MHz, CDCl₃): δ 1.08 (3H, s, 18-Me), 1.20 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.62 (1H, m, 3α-H), 5.42 (1H, d, J=4.6Hz, 6-H), 6.00 (1H, s, 16-H) and 8.93 (1H, s, 5'-H). This compound was not particularly stable at room temp. (TLC evidence) and was used for the subsequent reaction without further characterization.

SYNTHESIS EXAMPLE 23

This Example describes the preparation of 3β-hydroxy-17-(1H-tetrazol-1-yl)androsta-5,16-diene (Compound 27), VN/95-1.

The method followed that described for Synthesis Example 4, but using 3β-acetoxy-17-(1H-tetrazol-1-yl)androsta-5,16-diene (Compound 26) (36 mg, 0.094 mmol). Recrystallization of the product from hexane/EtOAc gave Compound 27 (28 mg, 87.4%), mp 200-204° C. (decomp.). NMR (300 MHz, CDCl₃): δ 1.06 (3H, s, 18-Me), 1.11 (3H, s, 19-Me), 3.54 (1H, m, 3α-H), 5.38 (1H, br. s, 6-H), 6.13 (1H, s, 16-H) and 8.73 (1H, s, 5'-H). Analysis calculated for C₂₀ H₂₈ ON4: C, 70.54; H, 8.29; N, 16.46. Found: C, 70.55; H, 8.20; N, 16.42.

SYNTHESIS EXAMPLE 24

This Example describes the preparation of 3β-acetoxy-17-(1H-pyrazol-1-yl) androsta-5,16-diene (Compound 28) and 3β-acetoxy-17α-(1H-pyrazol-1-yl)androsta-5-ene (Compound 29).

(a) Reaction of 3β-acetoxy-17-chloro-16-formylandrosta-5,16-diene (Compound 3) (0.5 g, 1.329 mmol), pyrazole (136 mg, 1.994 mmol) and K₂ CO₃ (551 mg, 3.99 mmol) as described for Synthesis Example 7 after FCC (silica gel, pet. ether/EtOAc, (4:1)) gave a mixture (341 mg, approx. 3:1) of 3β-acetoxy-17-(1H-pyrazol-1-yl)-16-formylandrosta-5,16-diene and 3β-acetoxy-17-(1H-pyrazol-1-yl)androsta-5-ene. This mixture resisted separation by chromatography.

(b) The above mixture (330 mg) was subjected to the decarbonylation reaction as described for Synthesis Example 14 to give a crude product (350 mg). Flash column chromatography on elution with pet. ether/EtOAc, (15:1), gave firstly 3β-acetoxy-17-(1H-pyrazol-1-yl) androsta-5,16-diene (Compound 28) (123 mg, 35%), mp 159-161° C. 1H NMR (300 MHz, CDCl₃): δ 1.08 (3H, s, 18-Me), 1.11 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 4.62 (1H, m, 3α-H), 5.42 (1H, d, J=5.1 Hz, 6-H), 5.77 (1H, s, 16-H), 6.32 (1H, s, 4'-H), 7.60 (1H, s, 3'-H) and 7.63 (1H, d, J=2.4 Hz, 5'-H). Analysis calculated for C₂₄ H₃₂ O₂ N₂ : C, 75.74; H, 8.48; N, 7.37. Found: C, 75.94; H, 8.51; N, 7.33. Further elution with pet. ether/EtOAc, (5:1) gave 3β-acetoxy-17α-(1H-pyrazol-1-yl)androst-5-ene (Compound 29) (93 mg, 30%), mp 238-240° C. 1H NMR (300 MHz, CDCl₃): δ 0.97 (3H, s, 18-Me), 1.08 (3H, s, 19-Me), 2.04 (3H, s, 3β-OAc), 3.24 (1H, dd, J=4.8 Hz, J₂ =15.6 Hz, 17β-H), 4.62 (1H, m, 3α-H), 5.43 (1H, d, J=5.1 Hz, 6-H), 6.45 (1H, s, 4'-H), 7.70 (1H, d, J=2.4 Hz, 3'-H) and 7.77 (1H, d, J=4.8 Hz, 5'-H). Analysis calculated for C₂₄ H₃₄ O₂ N₂ : C, 75.34; H, 8.96; N, 7.33. Found: C, 75.24; H, 8.90; N, 7.30.

SYNTHESIS EXAMPLE 25

This Example describes the preparation of 3β-hydroxy-17-(1H-pyrazol-1-yl) androsta-5,16-diene (Compound 30), VN/97-1.

This method followed that described for Synthesis Example 4, but using 3β-acetoxy-17-(1H-pyrazol-1-yl)androsta-5,16-diene (Compound 25) (100 mg, 0.236 mmol). Recrystallization of the product from hexane/EtOAc gave Compound 30 (85.8 mg, 95.6%), mp 197-199° C.; 1H NMR (300 MHz, CDCl₃): δ 1.06 (3H, s, 18-Me), 1.09 (3H, s, 19-Me), 3.56 (1H, m, 3α-H), 5.39 (1H, s, 6-H), 5.78 (1H, s, 16-H), 6.31 (1H, s, 4'-H), 7.59 (1H, s, 3'-H) and 7.62 (1H, s, 5'-H). Analysis calculated for C₂₂ H₃₂ ON₂ : C, 77.59; H, 9.48; N, 8.32. Found: C, 77.66; H, 9.59; N, 8.21.

EXAMPLE 1 Evaluation of 17-Azolyl Steroids as Inhibitors of Testicular Human and Rat 17α-hydroxylase/C₁₇,20 -lyase (17α-lyase) in vitro

The potency as inhibitors of P450₁₇ αof the 17-azolyl steroids obtained in the above Synthesis Examples was evaluated in human and rat testicular microsomes.

Human testicular microsomes were prepared from human testes (obtained from untreated prostatic cancer patients undergoing orchidectomy in the University of Maryland Hospital and Veterans Hospital), as described in Li et al, The Prostate, 26:140-150 (1995).

Rat testicular microsomes were prepared from the testes of adult Sprague-Dawley rats (Charles River Laboratories, weight 200-250 g), as described by Li et al, J. Med. Chem., 39:4335-4339 (1996).

The microsomes were stored at -70° C. until assayed. Just before use, the thawed microsomes were diluted with 0.1 M phosphate buffer (pH 7.4) to appropriate concentrations.

The protein concentration of the microsomes used in the assay was determined by the method of Lowry et al, J. Biol. Chem., 193:265-275 (1951).

The enzyme reaction (activity) was monitored by determination of the release of C³ H₃ COOH from [21-³ H₃ ]-17α-hydroxypregnenolone during cleavage of the C-21 side-chain in the conversion to dehydroepiandrosterone (DHEA) as described by Njar et al, Steroids, 62:468-473 (1997). This assay measures only the lyase activity of the P450₁₇α enzyme. This assay is comparable to the HPLC assay procedure (which utilizes [7-³ H]-pregnenolone as substrate), and measures both the hydroxylase and lyase activities of the enzyme.

The results are presented in Tables 1 and 2 below:

                  TABLE 1                                                          ______________________________________                                         The Inhibition of Human P450.sub.17α  by                                   Δ.sup.16 -17-Azolyl Steroids                                                   Compound.sup.a                                                                            % Inhibition.sup.b                                          ______________________________________                                          6 (VN/63-1)   60                                                                17 (VN/85-1) 97                                                                18 (VN/90-1) N.I..sup.c                                                        20 (VN/87-1) 94                                                                25 (VN/96-1) N.I..sup.c                                                        27 (VN/95-1) N.I..sup.c                                                        30 (VN/97-1) 40                                                              for comparison                                                                         Ketoconazole                                                                              67                                                          ______________________________________                                          .sup.a Each inhibitor concentration was 150 nM.                                .sup.b Concentration of substrate, 17hydroxypregnenolone = 10 μM.           .sup.c N.I. = No inhibition at concentration of 150 nM.                        All values are the mean of two determinations.                           

                  TABLE 2                                                          ______________________________________                                         Inhibitory Potency of Δ.sup.16 -17-Azolyl                                  Steroids Towards Human and Rat                                                 P450.sub.17α  and Human Steroid 5α-Reductase                              Human P450.sub.17α                                                                      Rat P450.sub.17α                                                                   5α-Reductase                           Compound IC.sub.50 (nM).sup.a                                                                    K.sub.i (nM).sup.b,c                                                                     IC.sub.50 (nM).sup.a                                                                   IC.sub.50 (nM).sup.a                       ______________________________________                                          6 (VN/63-1)                                                                            90 ± 14                                                                              23        26 ± 13                                                                             ˜160,000                                7 (VN/107-1) 55 ± 11 41 11 ± 3  152 ± 10                              8 (VN/111-1) 219 ± 21  -- -- --                                            11 (VN/85-1) 8 ± 1 1.2 9 ± 2 ˜400,000                              12 (VN/108-1) 7 ± 1 1.9   8 ± 0.7 142 ± 5                             13 (VN/112-1) 62 ± 2  -- -- --                                              14 (VN/113-1) 36 ± 9  -- --  765 ± 100                                   20 (VN/87-1) 13 ± 1  1.4  10 ± 0.4  ˜10,000                        21 (VN/109-1) 19 ± 1  8 9 ± 2 198 ± 33                              for comparison                                                                   Ketoconazole                                                                              78 ± 3                                                                               38      209 ± 17                                                                            --                                         Finasteride -- -- -- 33 ± 2                                               ______________________________________                                          .sup.a Mean ± SDM of at least two experiments.                              .sup.b K.sub.i values were determined as described herein.                     .sup.c K.sub.m for substrate, 17hydroxypregnenolone = 560 nM.            

In all experiments, the blank activity ranged from 1-5% of the control activity. IC₅₀ values for inhibitors were calculated from the linear regression line in the plot of logit of lyase activity versus log of inhibitor concentration. K_(i) values were also determined from assays as described by Njar et al (1997), supra. Each inhibitor was examined at three concentrations. Data from the various assays were used to obtain Lineweaver-Burk plots and from replots of slopes versus inhibitor concentration (FIG. 2B), K_(i) values were obtained and the K_(m) for 17α-hydroxypregnenolone (substrate) was also determined (Table 2).

In order to estimate the inhibitor potency of the compounds of the present invention, the tritiated substrate, a NADPH generating system and microsomes were incubated at 34° C. in O₂ in the presence or absence of the inhibitor. The reaction was usually monitored for 60 min during which time the formation of [³ H]-acetic acid, and thus DHEA was linear. The percentage inhibition data for the initial target compounds of this study are presented in Table 1 and highlights that 2H-1,2,3-triazole (Compound 18, VN/90-1) and the two tetrazole regioisomers (Compound 25, VN/96-1; and Compound 27, VN/95-1) were non-inhibitory, while the 1H-pyrazole (Compound 30, VN/97-1) was a moderate inhibitor. By contrast the 1H-1,2,4-triazole (Compound 6, VN/63-1), 1H-imidazole (Compound 11, VN/85-1) and 1H-1,2,3-triazole (Compound 20, VN/87-1) were potent inhibitors of the enzyme. Ketoconazole also showed strong inhibition. Given that these Δ¹⁶ -17-azole compounds of Table 1 are structurally similar, (i.e., they all possess the Δ⁵ -3β-ol functionality) the striking difference in the inhibitory properties observed may be due to the differences in their basicities, a property imposed by the inherent different electronic character of each of the azole heterocycles. In addition, the presence of a nitrogen atom at either the 3' or 4' position seems important for potent inhibition of the enzyme.

Following the initial screening assays, Compounds 6, 11 and 20 together with their corresponding Δ⁴ -3-one counterparts, Compounds 7 (VN/107-1), 12 (VN/108-1) and 21 (VN/109-1), respectively, were evaluated further to determine firstly, their IC₅₀ values and then their apparent values (from Lineweaver-Burk plots, e.g., FIG. 2A). These values are presented in Table 2. All six 17-azoles are excellent noncompetitive inhibitors of P450₁₇α as shown in the example in FIG. 2A. The nature of inhibition kinetics exhibited by these compounds was that in which the V_(max) was decreased, but the apparent K_(m) was unchanged; i.e., the intercept on the horizontal axis is the same in the absence or presence of inhibitor. This is one of two characteristics of a noncompetitive inhibitor, and indicates destruction of the catalytic activity of the enzyme. The other is when binding of the inhibitor and (variable) substrate are not mutually exclusive.

There was no marked difference between the inhibitory potencies of the Δ⁵ -3β-ol azoles (Compounds 6, 11 and 20) with those of the corresponding Δ⁴ -3-ones (Compounds 7, 12 and 21). Three of the compounds, i.e., Compounds 7, 12 and 20 with K_(i) values of 1.2, 1.8 and 1.4 nM, respectively, (K_(m) of the substrate, 17α-hydroxypregnenolone was 530 nM), were the most potent inhibitors, and they are indeed the most potent inhibitors of human testicular microsomal P450₁₇α described to date. These compounds were 20-32 times more potent as P450₁₇α inhibitors when compared in the same assay with ketoconazole (K_(i) =38 nM). Some Δ¹⁶ -17-(3-pyridyl) compounds were recently classified as the most potent inhibitors of this enzyme (Potter et al, supra). However, three of their most potent inhibitors were 9-12 times more potent as P450₁₇α (lyase activity) inhibitors when compared in the same assay with ketoconazole (Potter et al, supra). The requirement of 16,17-double bond was also observed with these P450₁₇α inhibitors: 17β-(1H-1,2,4-triazolyl)- and 17β-(1H-imidazolyl)- compounds, Compounds 8 (VN/111-1) and 13 (VN/112-1) each exhibited diminished potency compared to the corresponding parent Δ¹⁶ compounds, Compounds 6 and 11, respectively, (Compound 6→Compound 8, IC₅₀ 90→219 nM, and Compound 11→Compound 13, IC₅₀ 8→62 nM). A similar observation has been previously reported (Potter et al, supra; Burkhart et al, Bioorg. Med. Chem., 4:1411-1420 (1996); and Ling et al, supra) for a number of Δ¹⁶ -17-heteroaryl P450₁₇α inhibitors. Conversion of Compound 13 to the Δ⁴ -3-one compound, Compound 14 resulted in a modest increase in inhibitory activity (62→36 nM).

When the lyase reaction was monitored in the presence of various concentrations of the imidazole, Compound 11, a family of non-linear progress curves were obtained in which the extent of inhibition increased with time (FIG. 3). This suggest that Compound 11 may be a slow-binding inhibitor (Morrison, et al, Adv. Enzymol. Relat. Areas Mol. Biol., 61:201-301 (1988)). Although the other potent inhibitors were not examined in this assay, it is likely that they may also behave in a similar fashion. Compound 11 appears to be the first example of a slow-binding inhibitor of cytochrome P450₁₇α.

To investigate the mechanism of P450₁₇α inhibition further, the properties (chemical nature) of the complexes formed between the 1H-1,2,4-triazole, Compound 6 and imidazole, Compound 11 and a modified form of human P450₁₇α (Imai et al, J. Biol. Chem., 268:19681-19689 (1993) were next studied using UV-VIS difference spectroscopy as described by Jefcoat, Methods Enzymol., 52:258-279 (1978). Each of these compounds induced a Type II difference spectrum (FIG. 4), indicating coordination of a steroidal nitrogen (probably N-4 of the triazole ring or N-3 of the imidazole ring) to the heme iron of the cytochrome P450 enzyme, with formation of low spin iron. The peak positions of the Soret maxima for the complexes with triazole, Compound 6 (422 nm) and imidazole, Compound 11 (426 nm) are in agreement with available data for the binding of nitrogen ligands to cytochrome P450 systems; resulting in complexes with Soret maximum at 421-430 nm (Dawson et al, J. Biol. Chem., 257:3606-3617 (1982)).

The inhibitory potency of (20R)- and (20S)-aziridinyl steroids have recently been reported, and this stems in part from the additional stabilization due to coordination of the heteroatom of their aziridinyl ring to the heme of rat P450₁₇α (Njar et al, Bioorg. Med. Chem., 4:1447-1453 (1996)). The spectroscopic data described above suggest that this may also be the case for the Δ¹⁶⁻¹⁷ -azole steroids of the present invention. The ability of the steroidal azole nitrogen atom to coordinate with the heme of P450₁₇α indicates that C-17 and C-20 (the sites of enzymatic hydroxylations) can be positioned in close proximity to the heme center when these substrate-like inhibitors are bound to the enzyme. Although it is not certain that these compounds bind in exactly the same manner as the natural substrates, their high binding affinities make a significantly different mode of binding unlikely. It should be noted that although two groups (Potter et al, supra; and Burkhart et al, supra) have recently reported on 17-heteroaryl steroidal inhibitors of P450₁₇α and believe that the inhibitory property of their compounds are due (in part) to coordination of a heteroaryl atom to the heme-iron of the enzyme complex, they are yet to provide evidence for this phenomenon.

Before evaluating these potent inhibitors in vivo in rodent models as potential therapeutic agents for the treatment of prostate cancer, the potency of these inhibitors was also accessed towards the rat testicular microsomal P470₁₇α. A comparison was made between the inhibitory activity, expressed as IC₅₀ values, displayed by the Δ⁵ -3β-ols, Compounds 6, 11 and 20; the Δ⁴ -3-one compounds, Compounds 7, 12 and 21, and ketoconazole towards P470₁₇α located in human and rat testicular microsomes. The results are presented in Table 2 and show that whereas the potencies of Compounds 6, 7 and 21 each increased towards the rat enzyme by 3.5-, 5- and 2-folds, respectively, the potencies of Compounds 11, 12 and 20 were unchanged, while that for ketoconazole decreased by about 3-fold. The most potent inhibitors, Compounds 11, 12 and 20 appear to be the first examples of inhibitors that are equipotent towards the human as well as the rat P450₁₇α enzymes. This finding indicates that results from pre-clinical in vivo studies with rats are likely to reflect the clinical situation.

EXAMPLE 2 Evaluation of 17-Azolyl Steroids as Inhibitors of 5α-Reductase

The effects of the compounds of the present invention and finasteride (a potent inhibitor of this enzyme) on human prostate 5α-reductase activity was evaluated essentially as described by Li et al, 1996, supra; and Klus et al, Cancer Res., 56:4956-4964 (1996).

More specifically, ethanolic solutions of [7-³ H]-testosterone (600,000 dpm), cold testosterone (4.8 ng), indicated inhibitors (0-200 nM) and propylene glycol (10 μl) were added to sample tubes in duplicate. The ethanol was evaporated to dryness under a gentle stream of air. The samples were reconstituted in 400 μl of 0.1 M phosphate buffer (pH 7.4) containing 78 μM DTT and the NADPH generating system comprising 6.5 mm NADP; 71 mM glucose-6-phosphate, and 2.5 IU glucose-6-phosphate dehydrogenase in 100 μl of phosphate buffer, was added to each tube. The tubes were preincubated at 37° C. for 15 min. The enzymatic reactions were initiated by addition of human BPH microsomes (about 180 μg of microsomal protein in 500 μl of phosphate buffer) in a total volume of 1.0 ml, and the incubations were performed for 10 min under oxygen in a shaking water bath at 37° C. The incubations were terminated by placing the sample tubes on ice and the addition of ether. Also, [¹⁴ C]-DHT (3000 dpm) and cold DHT (50 μg) were added to each tube as an internal standard and visualization marker, respectively. The steroids were extracted with ether and separated by TLC (chloroform:ether, 80:20) and visualized by exposure to iodine vapor. The extracts were analyzed for ³ H and ¹⁴ C using a liquid scintillation counter. The percentage conversion of [7-³ H]-testosterone to [³ H]-dihydrotestosterone was calculated and used to determine 5α-reductase activity. IC₅₀ values were determined from plots of 5α-reductase activity against four different concentrations of the inhibitor.

The results are presented in Table 2 and highlights that the Δ⁵ -3β-ol compounds (Compounds 6, 11 and 20) were poor inhibitors of the enzyme. By contrast, the corresponding Δ⁴ -3-one compounds (Compounds 7, 12 and 21) were potent inhibitors, being only about 4-6 times less potent than finasteride, a potent 5α-reductase inhibitor currently used in the treatment of benign prostatic hyperplasia.

EXAMPLE 3 The Effect of Inhibitors on Androgen-dependent Growth of Human Prostate Cancer (LNCaP) Cells in vitro

The abilities of Compounds 11 and 20 to inhibit the androgen-stimulated growth of LNCaP human prostatic cancer cell were examined. As previously reported by Klus et al, supra, 0.1 nM testosterone increased the growth of these LNCaP cells 6-fold compared to vehicle-treated cells, and 30 pM DHT stimulated proliferation 5-fold compared to control. The imidazole, Compound 11 was more effective than Compound 20 in inhibiting the testosterone-stimulated growth of LNCaP cells, with 100% inhibition occurring at 1.0 and 2.5 μM, respectively. Both compounds also inhibited DHT-induced cell growth with Compound 11 again being more effective (100% inhibition at 2.5 and 5.0 μM, respectively). Since neither compound inhibited 5α-reductase nor was toxic to the cells in the concentration range 0.5-5.0 μM, these results indicate that their growth-inhibiting properties are due to possible anti-androgenic effects.

In summary, the present invention describes a method for the introduction of a variety of azolyl groups at the 17-carbon of a Δ¹⁶ steroid. This enabled the synthesis of several Δ¹⁶ -17-azolyl steroids of which Compounds 6, 7, 11, 12, 20, and 21 proved to be powerful inhibitors of both human and rat testicular P450₁₇α. In addition, it is shown that a nitrogen of Compound 6 and 11, each coordinates to the enzyme's heme-iron. Kinetic studies allowed for classification of these compounds as noncompetitive inhibitors of the enzyme. Unlike most previously described P450₁₇α inhibitors which show normal competitive or noncompetitive reversible kinetics, the most potent inhibitor, Compound 11 shows an apparent slow binding behavior. Compounds 12, 20 and 21 are also potent inhibitors of 5α-reductase, while Compounds 11 and 20 appear to possess strong antiandrogenic effects. These dual biological properties of some of these compounds increase their utility in the treatment of prostate cancer.

While the invention has been described in detail, and with reference to specific embodiments thereof, it will be apparent to one of ordinary skill in the art that various changes and modifications can be made therein without departing from the spirit and scope thereof. 

What is claimed:
 1. A compound of general Formula (I): ##STR8## wherein X represents the residue of the A, B and C rings of a steroid consisting of a 4-en-3-one or 5-en-3β-ol system; Az represents an azole ring attached to C-17 of the steroid via a hetero nitrogen atom; and R₁ and R₂ represent a hydrogen atom or together represent a double bond.
 2. The compound of claim 1, where Az is selected from the group consisting of ##STR9## .
 3. The compound of claim 1, wherein said steroid further comprises a basic structure selected from the group consisting of Δ⁴ -3-one, Δ⁵ -3β-ol and Δ¹,4 -3-one.
 4. The compound of claim 1, wherein said compound is selected from the group consisting of 17-(1H-imidazolyl)-androst-5-en-3β-ol, 17β-(1H-imidazolyl)-androsta-5,16-dien-3β-ol, 17β-(1H-1,2,3-triazolyl)-androst-5-en-3β-ol, 17-(1H-1,2,3-triazolyl)-androsta-5,16-dien-3β-ol, 17β-(1H-1,2,4-triazolyl)-androst-5-en-3β-ol, 17-(1H-1,2,4-triazolyl)-androsta-5,16-dien-3β-ol and 3-acetates thereof.
 5. The compound of claim 1, wherein said compound is selected from the group consisting of 17β-(1H-imidazolyl)-androst-4-en-3-one, 17-(1H-imidazolyl)-androsta-4,16-dien-3-one, 17β-(1H-1,2,3-triazolyl)-androst-4-en-3-one, 17-(1H-1,2,3-triazolyl)-androsta-4,16-dien-3-one, 17β-(1H-1,2,4-triazolyl)-androst-4-en-3-one, 17-(1H-1,2,4-triazolyl)-androsta-4,16-dien-3-one and 3-oximes thereof.
 6. A pharmaceutical composition comprising of at least one compound according to claim 1; and a pharmaceutically acceptable carrier or diluent.
 7. A method for reducing plasma levels of testosterone and/or dihydrotestosterone (DHT) in a subject in need of such treatment comprising administering to said subject at least one compound according to claim 1 in an amount sufficient to reduce plasma levels of testosterone and/or DTH.
 8. A method for treating benign prostatic hyperblasia in a subject in need of such treatment comprising administering to said subject at least one compound according to claim 1 in an amount sufficient to reduce the size of the prostate.
 9. A method for treating prostate cancer in a subject in need of such treatment comprising administering to said subject at least one compound according to claim 1 in an amount sufficient to reduce the size of the prostate tumors.
 10. A method for the production of a compound represented by Formula (I): ##STR10## wherein X represents the residue of the A, B and C rings of a steroid consisting of a 4-en-3-one or 5-en-3β-ol system; Az represents an azole ring attached to C-17 of the steroid via a heteroatom; and R₁ and R₂ represent a hydrogen atom or together represent a double bond,comprising the steps of: (A) subjecting the 3β-acetoxyandrost-5-en-17-one represented by Formula (II) to a Vilsmeier-Haack reaction: ##STR11## to obtain the 3β-acetoxy-17-chloro-16-formylandrosta-5,16-diene represented by Formula (III): ##STR12## (B) treating the compound represented by Formula (III) with an azole nucleophile to obtain a 17-azole-Δ¹⁶ steroid represented by Formula (IV): ##STR13## wherein X represents A, B and C rings of the compound represented by Formula (III); and (C) subjecting the C-16 of said 17-azole-Δ¹⁶ steroid represented by Formula (IV) to decarbonylation, and cleaving the 3β-acetoxy group therefrom so as to obtain a 5-en-3β-ol-17-azole compound represented by Formula (V); ##STR14## wherein X is as defined for the compounds of Formula (I); and (D) subjecting the resulting 5-en-3β-ol-17-azole compound represented by Formula (V) to Oppenauer oxidation to obtain the corresponding 4-en-3-one-17-azole counterparts.
 11. The method of claim 10, wherein said method additionally comprises the step of:(E) reducing the resulting Δ¹⁶ compound of step (D) to obtain a saturated D-ring.
 12. The compound of claim 1, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-imidazol-1-yl)androsta-5,16-diene, 3β-Hydroxy-17β-(1H-imidazol-1-yl) androst-5-ene, 3β-hydroxy-17-(2H-1,2,3-triazol-2-yl) androsta-5,16-diene, 3β-hydroxy-17-(2H-tetrazol-2-yl)androsta-5,16-diene, 3β-hydroxy-17-(1H-tetrazol-1-yl) androsta-5,16-diene, 3β-hydroxy-17α-(1H-pyrazol-1-yl) androsta-5-ene, 3β-hydroxy-17-(1H-pyrazol-1-yl) androsta-5,16-diene, and 3-acetates thereof.
 13. The compound of claim 1, where R₁ and R₂ together represent a double bond.
 14. The compound of claim 1, where Az represents a triazole.
 15. The compound of claim 14, where R₁ and R₂ together represent a double bond.
 16. The compound of claim 15, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-1,2,3-triazol-1-yl) androsta-5,16-diene, 3β-hydroxy-17-(1H, 1,2,4-triazol-1-yl) androsta-5,16-diene, and 3-acetates thereof.
 17. The compound of claim 1, where Az represents an imidazole.
 18. The compound of claim 17, where R₁ and R₂ together represent a double bond.
 19. The compound of claim 18, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-imidazol-1-yl) androsta-5,16-diene, a 3-acetate thereof, 17-(1H-imidazol-1-yl) androsta-4,16-diene-3-one, and a 3-oxime thereof.
 20. The pharmaceutical composition of claim 6, wherein said compound is selected from the group consisting of 17-(1H-imidazolyl)-androst-5-en-3β-ol, 17β-(1H-imidazolyl)-androsta-5,16-dien-3β-ol, 17β-(1H-1,2,3-triazolyl)-androst-5-en-3β-ol, 17-(1H-1,2,3-triazolyl)-androsta-5,16-dien-3β-ol, 17β-(1H-1,2,4-triazolyl)-androst-5-en-3β-ol, 17-(1H-1,2,4-triazolyl)-androsta-5,16-dien-3β-ol, and 3-acetates thereof.
 21. The pharmaceutical composition of claim 6, wherein said compound is selected from the group consisting of 17β-(1H-imidazolyl)-androst-4-en-3-one, 17-(1H-imidazolyl)-androsta-4,16-dien-3-one, 17β-(1H-1,2,3-triazolyl)-androst-4-en-3-one, 17-(1H-1,2,3-triazolyl)-androsta-4,16-dien-3-one, 17β-(1H-1,2,4-triazolyl)-androst-4-en-3-one, 17-(1H-1,2,4-triazolyl)-androsta-4,16-dien-3-one, and 3-oximes thereof.
 22. The pharmaceutical composition of claim 6, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-imidazol-1-yl)androsta-5,16-diene, 3β-Hydroxy-17β-(1H-imidazol-1-yl) androst-5-ene, 3β-hydroxy-17-(2H-1,2,3-triazol-2-yl) androsta-5,16-diene, 3β-hydroxy-17-(2H-tetrazol-2-yl)androsta-5,16-diene, 3β-hydroxy-17-(1H-tetrazol-1-yl) androsta-5,16-diene, 3β-hydroxy-17α-(1H-pyrazol-1-yl) androsta-5-ene, 3β-hydroxy-17-(1H-pyrazol-1-yl) androsta-5,16-diene, and 3-acetates thereof.
 23. The pharmaceutical composition of claim 6, where R₁ and R₂ together represent a double bond.
 24. The pharmaceutical composition of claim 6, where Az represents a triazole.
 25. The pharmaceutical composition of claim 24, where R₁ and R₂ together represent a double bond.
 26. The pharmaceutical composition of claim 25, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-1,2,3-triazol-1-yl) androsta-5,16-diene, 3β-hydroxy-17-(1H, 1,2,4-triazol-1-yl) androsta-5,16-diene, and 3-acetates thereof.
 27. The pharmaceutical composition claim 6, where Az represents an imidazole.
 28. The pharmaceutical composition of claim 27, where R₁ and R₂ together represent a double bond.
 29. The pharmaceutical composition of claim 28, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-imidazol-1-yl) androsta-5,16-diene, a 3-acetates thereof, 17-(1H-imidazol-1-yl) androsta-4,16-diene-3-one, and a 3-oxime thereof.
 30. The method for reducing plasma levels of testosterone and/or dihydrotestosterone of claim 7, wherein said compound is selected from the group consisting of 17-(1H-imidazolyl)-androst-5-en-3β-ol, 17β-(1H-imidazolyl)-androsta-5,16-dien-3β-ol, 17β-(1H-1,2,3-triazolyl)-androst-5-en-3β-ol, 17-(1H-1,2,3-triazolyl)-androsta-5,16-dien-3β-ol, 17β-(1H-1,2,4-triazolyl)-androst-5-en-3β-ol, 17-(1H-1,2,4-triazolyl)-androsta-5,16-dien-3β-ol, and 3-acetates thereof.
 31. The method for reducing plasma levels of testosterone and/or dihydrotestosterone of claim 7, wherein said compound is selected from the group consisting of 17β-(1H-imidazolyl)-androst-4-en-3-one, 17-(1H-imidazolyl)-androsta-4,16-dien-3-one, 17β-(1H-1,2,3-triazolyl)-androst-4-en-3-one, 17-(1H-1,2,3-triazolyl)-androsta-4,16-dien-3-one, 17β-(1H-1,2,4-triazolyl)-androst-4-en-3-one, 17-(1H-1,2,4-triazolyl)-androsta-4,16-dien-3-one, and 3-oximes thereof.
 32. The method for reducing plasma levels of testosterone and/or dihydrotestosterone of claim 7, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-imidazol-1-yl)androsta-5,16-diene, 3β-Hydroxy-17β-(1H-imidazol-1-yl) androst-5-ene, 3β-hydroxy-17-(2H-1,2,3-triazol-2-yl) androsta-5,16-diene, 3β-hydroxy-17-(2H-tetrazol-2-yl)androsta-5,16-diene, 3β-hydroxy-17-(1H-tetrazol-1-yl) androsta-5,16-diene, 3β-hydroxy-17α-(1H-pyrazol-1-yl) androsta-5-ene, 3β-hydroxy-17-(1H-pyrazol-1-yl) androsta-5,16-diene, and 3-acetates thereof.
 33. The method for reducing plasma levels of testosterone and/or dihydrotestosterone of claim 7, where R₁ and R₂ together represent a double bond.
 34. The method for reducing plasma levels of testosterone and/or dihydrotestosterone of claim 7, where Az represents a triazole.
 35. The method for reducing plasma levels of testosterone and/or dihydrotestosterone of claim 34, where R₁ and R₂ together represent a double bond.
 36. The compound of claim 35, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-1,2,3-triazol-1-yl) androsta-5,16-diene, 3β-hydroxy-17-(1H, 1,2,4-triazol-1-yl) androsta-5,16-diene, and 3-acetates thereof.
 37. The method for reducing plasma levels of testosterone and/or dihydrotestosterone of claim 7, where Az represents an imidazole.
 38. The method for reducing plasma levels of testosterone and/or dihydrotestosterone of claim 37, where R₁ and R₂ together represent a double bond.
 39. The method for reducing plasma levels of testosterone and/or dihydrotestosterone of claim 38, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-imidazol-1-yl) androsta-5,16-diene, a 3-acetate thereof, 17-(1H-imidazol-1-yl) androsta-4,16-diene-3-one, and a 3-oxime thereof.
 40. The method for treating benign prostatic hyperblasia of claim 8, wherein said compound is selected from the group consisting of 17-(1H-imidazolyl)-androst-5-en-3β-ol, 17β-(1H-imidazolyl)-androsta-5,16-dien-3β-ol, 17β-(1H-1,2,3-triazolyl)-androst-5-en-3β-ol, 17-(1H-1,2,3-triazolyl)-androsta-5,16-dien-3β-ol, 17β-(1H-1,2,4-triazolyl)-androst-5-en-3β-ol, 17-(1H-1,2,4-triazolyl)-androsta-5,16-dien-3β-ol, and 3-acetates thereof.
 41. The method for treating benign prostatic hyperblasia of claim 8, wherein said compound is selected from the group consisting of 17β-(1H-imidazolyl)-androst-4-en-3-one, 17-(1H-imidazolyl)-androsta-4,16-dien-3-one, 17β-(1H-1,2,3-triazolyl)-androst-4-en-3-one, 17-(1H-1,2,3-triazolyl)-androsta-4,16-dien-3-one, 17β-(1H-1,2,4-triazolyl)-androst-4-en-3-one, 17-(1H-1,2,4-triazolyl)-androsta-4,16-dien-3-one, and 3-oximes thereof.
 42. The method for treating benign prostatic hyperblasia of claim 8, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-imidazol-1-yl)androsta-5,16-diene, 3β-Hydroxy-17β-(1H-imidazol-1-yl) androst-5-ene, 3β-hydroxy-17-(2H-1,2,3-triazol-2-yl) androsta-5,16-diene, 3β-hydroxy-17-(2H-tetrazol-2-yl)androsta-5,16-diene, 3β-hydroxy-17-(1H-tetrazol-1-yl) androsta-5,16-diene, 3β-hydroxy-17α-(1H-pyrazol-1-yl) androsta-5-ene, 3β-hydroxy-17-(1H-pyrazol-1-yl) androsta-5,16-diene, and 3-acetates thereof.
 43. The method for treating benign prostatic hyperblasia of claim 8, where R₁ and R₂ together represent a double bond.
 44. The method for treating benign prostatic hyperblasia of claim 8, where Az represents a triazole.
 45. The method for treating benign prostatic hyperblasia of claim 44, where R₁ and R₂ together represent a double bond.
 46. The method for treating benign prostatic hyperblasia of claim 45, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-1,2,3-triazol-1-yl) androsta-5,16-diene, 3β-hydroxy-17-(1H, 1,2,4-triazol-1-yl) androsta-5,16-diene, and 3-acetates thereof.
 47. The method for treating benign prostatic hyperblasia of claim 8, where Az represents an imidazole.
 48. The method for treating benign prostatic hyperblasia of claim 47, where R₁ and R₂ together represent a double bond.
 49. The method for treating benign prostatic hyperblasia of claim 48, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-imidazol-1-yl) androsta-5,16-diene, a 3-acetate thereof, 17-(1H-imidazol-1-yl) androsta-4,16-diene-3-one, and a 3-oxime thereof.
 50. The method for treating prostate cancer of claim 9, wherein said compound is selected from the group consisting of 17-(1H-imidazolyl)-androst-5-en-3β-ol, 17β-(1H-imidazolyl)-androsta-5,16-dien-3β-ol, 17β-(1H-1,2,3-triazolyl)-androst-5-en-3β-ol, 17-(1H-1,2,3-triazolyl)-androsta-5,16-dien-3β-ol, 17β-(1H-1,2,4-triazolyl)-androst-5-en-3β-ol, 17-(1H-1,2,4-triazolyl)-androsta-5,16-dien-3β-ol, and 3-acetates thereof.
 51. The method for treating prostate cancer of claim 9, wherein said compound is selected from the group consisting of 17β-(1H-imidazolyl)-androst-4-en-3-one, 17-(1H-imidazolyl)-androsta-4,16-dien-3-one, 17β-(1H-1,2,3-triazolyl)-androst-4-en-3-one, 17-(1H-1,2,3-triazolyl)-androsta-4,16-dien-3-one, 17β-(1H-1,2,4-triazolyl)-androst-4-en-3-one, 17-(1H-1,2,4-triazolyl)-androsta-4,16-dien-3-one, and 3-oximes thereof.
 52. The method for treating prostate cancer of claim 9, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-imidazol-1-yl)androsta-5,16-diene, 3β-Hydroxy-17β-(1H-imidazol-1-yl) androst-5-ene, 3β-hydroxy-17-(2H-1,2,3-triazol-2-yl) androsta-5,16-diene, 3β-hydroxy-17-(2H-tetrazol-2-yl)androsta-5,16-diene, 3β-hydroxy-17-(1H-tetrazol-1-yl) androsta-5,16-diene, 3β-hydroxy-17α-(1H-pyrazol-1-yl) androsta-5-ene, 3β-hydroxy-17-(1H-pyrazol-1-yl) androsta-5,16-diene, and 3-acetates thereof.
 53. The method for treating prostate cancer of claim 9, where R₁ and R₂ together represent a double bond.
 54. The method for treating prostate cancer of claim 9, where Az represents a triazole.
 55. The method for treating prostate cancer of claim 54, where R₁ and R₂ together represent a double bond.
 56. The method for treating prostate cancer of claim 55, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-1,2,3-triazol-1-yl) androsta-5,16-diene, 3β-hydroxy-17-(1H, 1,2,4-triazol-1-yl) androsta-5,16-diene, and 3-acetates thereof.
 57. The method for treating prostate cancer of claim 9, where Az represents an imidazole.
 58. The method for treating prostate cancer of claim 57, where R₁ and R₂ together represent a double bond.
 59. The method for treating prostate cancer of claim 58, wherein said compound is selected from the group consisting of 3β-hydroxy-17-(1H-imidazol-1-yl) androsta-5,16-diene, a 3-acetate thereof, 17-(1H-imidazol-1-yl) androsta-4,16-diene-3-one, and a 3-oxime thereof. 